Influence of immediate and permanent obturators on facial contours: a case series

Türkaslan, Süha; Baykul, Timuçin; Aydın, Mustafa Asım; Özarslan, Mehmet Mustafa

doi:10.1186/1757-1626-2-6

Cited by 11 publications

(13 citation statements)

References 12 publications

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“…Technological developments now allow immediate defect repair after maxillectomy through a multidisciplinary treatment approach. The ideal technique for repairing the defect caused by total maxillectomy should fill the defect, allow close interlinking of the mouth and nose, restore the physiological functions of chewing, swallowing, and speech, and improve the facial appearance . The microsurgical anastomosis free‐flap technique is widely applied for this purpose.…”

Section: Introductionmentioning

confidence: 99%

“…The ideal technique for repairing the defect caused by total maxillectomy should fill the defect, allow close interlinking of the mouth and nose, restore the physiological functions of chewing, swallowing, and speech, and improve the facial appearance. 6 The microsurgical anastomosis free-flap technique is widely applied for this purpose. Various free flaps (e.g., scapular free flap, free fibula myocutaneous flap, etc.)…”

Section: Introductionmentioning

confidence: 99%

“…The prosthesis was found to repair the defect immediately or 2 weeks after the operation (when the incision had healed). However, these studies used simple temporary palatal or maxillary palatal prostheses, which were unable to control the facial depression and eyeball prolapse.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Functional Evaluation of a CAD/CAM Prosthesis for Immediate Defect Repair after Total Maxillectomy: A Case Series of 18 Patients with Maxillary Sinus Cancer

Jiang

Hou

et al. 2014

J Esthet Restor Dent

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This surgical treatment of maxillary sinus cancer is applied rarely in China, but it has a good effect based on our observation. Simultaneous CAD/CAM prosthesis implantation after total maxillectomy can recover the facial profile, enhance the speaking, swallowing, and chewing functions, and improve the quality of life of patients. Tumor recurrence can be detected by direct observation of the postoperative maxillary cavity. This technique avoids the need for dental implants because the bottom part of the prosthesis contains a palatal plate with dentures.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Functional Evaluation of a CAD/CAM Prosthesis for Immediate Defect Repair after Total Maxillectomy: A Case Series of 18 Patients with Maxillary Sinus Cancer

Jiang

Hou

et al. 2014

J Esthet Restor Dent

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“…[6] An immediate surgical obturator is the fi rst prosthesis placed and is used to minimize post-operative complications. [7] It supports soft tissue, minimizes scar contracture and disfi gurement, reproduces the anatomic integrity of the palate, improves post-operative oral hygiene and protects the surgical packing from food debris contamination. [8] It also allows the patient to resume a normal diet, protect the wound from trauma and maintain adequate pressure on split thickness skin graft.…”

Section: Discussionmentioning

confidence: 99%

Prosthetic rehabilitation of acquired maxillectomy defect:A case report with 10 years follow-up

Siraj¹,

Al-Gorashi²,

Moussa³

et al. 2014

IJMDCR

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Acquired maxillary defects are created by surgical removal of benign or malignant tumors, congenital malformation and by trauma. Surgery is the fi rst choice for some benign tumors, early cancers and for cancers that do not respond to radiation and chemotherapy. Surgery or trauma can result in cosmetic, functional and psychological impairment greatly aff ecting the patient's quality of life. Surgical reconstruction of the maxillary defects can be carried out either by using temporal fl ap or a wide range of microvascularized fl aps. Rehabilitation via palatal obturators to obturate a palatal defect in a dentulous or edentulous patient is one of the choices in restoring masticatory function and improving speech, deglutition and cosmetics. Rehabilitation of such patients is quiet challenging and requires a multidisciplinary team for comprehensive care and optimal post-treatment functional outcomes. Hence, it is crucial to work in close collaboration with the team members who makes the prosthesis and who evaluates the case for planning the surgical procedures and obtaining the necessary anatomical and functional information.

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“…After surgical treatment, an immediate surgical obturator is placed right away. This is used to reduce any of the complications to be had (8). Soft-tissue is supported by this obturator, and the contracture of the resulting scar, minimized.…”

mentioning

confidence: 99%

Use of a Removable Silicone Bung for Increased Seal and Retention of an Obturator in the Prosthetic Rehabilitation of a Unilateral Maxillary Defect: A Clinical Case Report

Paryag¹,

Peters²,

Seeratan³

et al. 2016

West Indian Med J

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M axillary defects are created by surgical treatment of benign or malignant neoplasms, as well as congenital malformation and trauma and their occurrence is also associated with the enucleation of maxillary cysts (1). Squamous cell carcinomas account for two thirds of the malignant neoplasms of the upper gingiva and hard palate. Lesions in these areas account for 1-5% of total occurrence in the oral cavity. 1 Adjacent structures are vulnerable to metastasis during the confirmation of the diagnosis. With this eventuality, the recommended treatment for these types of lesions is alveolectomy, palatectomy, partial or total maxillectomy. These treatment outcomes depend on the location and aggressiveness of the actual lesion, its histiotype, patient's age and general health status (1). Patients with acquired maxillary defects differ from those with congenital defects due to the abrupt alteration in physiologic processes associated with surgical resection of the maxillae (1). The post-surgical effects have affect the form and function of normal stomatognathic system. The quality of life of the patient is therefore reduced as the end state can be particularly severe (2). Patients can experience hypernasal speech, regurgitation of food or fluid into the nasal cavity, impairment of mastication and deglutition. The facial contour of the patient can also be affected, particularly when it involves one or both sides of maxilla with or without associated paranasal sinuses (2). " Rehabilitation of these acquired maxillary defects can be accomplished by using various types of microvascularized flaps for smaller defects or by prosthetic means for larger defects" (2). An obturator is prosthesis that closes a palatal defect in both dentate and edentulous patient (3). Early management with an option such as this, is therefore important in retaining function and enhancing aesthetics and thus possibly safeguarding the patient's self-esteem (4).

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Influence of immediate and permanent obturators on facial contours: a case series

Cited by 11 publications

References 12 publications

Functional Evaluation of a CAD/CAM Prosthesis for Immediate Defect Repair after Total Maxillectomy: A Case Series of 18 Patients with Maxillary Sinus Cancer

Functional Evaluation of a CAD/CAM Prosthesis for Immediate Defect Repair after Total Maxillectomy: A Case Series of 18 Patients with Maxillary Sinus Cancer

Prosthetic rehabilitation of acquired maxillectomy defect:A case report with 10 years follow-up

Use of a Removable Silicone Bung for Increased Seal and Retention of an Obturator in the Prosthetic Rehabilitation of a Unilateral Maxillary Defect: A Clinical Case Report

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